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Poster Sessionssessions PosterPoster SessionsSessions Health Promotion/Disease Prevention – Additionally, both flosses were similar for “resistance Original Research to shredding or fraying” and easy sliding (“easy to insert,” “easy to remove” and “easy to slide between Comparing Consumer Acceptance teeth”), with one exception. Among Crest® Glide® floss users, the new technology was perceived as significant- and Perceived Benefits Of Two ly easier to insert. Floss Technologies *Christine A. Charles, RDH, BS; Lai Hing Vair, BS; Conclusion: This home use test demonstrated con- Daniel Queiroz, BS; JA McGuire, MS; Carol Gell, sumer perceivable differences between 2 floss tech- nologies and the superior performance on overall lik- PhD; Elizabeth Channell, MS; Angela D. Morris, ing, perceived cleaning efficacy and comfort of a new RDH, MS monofilament floss with Micro–Grooves™ technology Johnson & Johnson Consumer & Personal compared to a standard monofilament floss. Products Worldwide, Division of Johnson & Johnson Consumer Companies, Inc. The Epidemic Of Dental Disease In Poor Children Of Northeast Purpose: The purpose of this quantitative, in–home use Philadelphia study was to evaluate consumer acceptance and benefits Judy E. Gelinas, RDH, BS; Iain F. S. Black, MD; of a new floss technology regarding parameters of per- ceived cleaning efficacy, comfort and overall liking. Wilma B. Yu, RN, MS St Christopher’s Foundation for Children Problem statement: Can a consumer perceive differ- ences between 2 floss technologies in factors that might Purpose: To determine the extent and severity of den- affect patient compliance, such as perceived cleaning tal disease in 2 to 9 year olds in a targeted low socio- efficacy, comfort and overall liking? economic Northeast Philadelphia population. Methods: Two–hundred and sixteen respondents, across Problem Statement: Data compiled by St Christo- 6 different geographic locations in the U.S., completed pher’s Foundation for Children found in children 2 to 3 a questionnaire in this blinded, paired–comparison, year olds 28.4% had dental decay. By 8 to 9 years old, 2–way crossover home use study evaluating 2 dental incidence rose to 72.4%. These rates are double those floss products. Respondents were instructed to use each of the state and Philadelphia and triple the Healthy Peo- product at least 3 times over a 3 day period with 1 day ple 2010 target. of rest between test periods. Responses were scored on a 9–point hedonic/intensity, or a 5–point agree/disagree Methods: The study was a quantitative retrospective scale. Data was analyzed using a 2–way ANOVA with study of 2,527 children, ages 2 to 9 years old, treated respondent and floss product as factors. through the St Christopher’s Foundation for Children’s Mobile Dental Program (Ronald McDonald Care Mo- Results: Results demonstrated that the Micro–Grooves™ bile) during a 2 year period from Jan. 1, 2007 to Dec. 31, technology monofilament floss (Reach® Ultraclean™ 2009. Data is compiled by age and looks at the children floss) was superior to a standard monofilament floss seen with dental decay expressed as number of chil- (Crest® Glide® Original Mint floss) for overall liking dren and percentage by grouping. The study compiled (7.05 vs. 5.99, p<0.05, 1 = dislike extremely, 9 = like the severity of dental decay by recording the number of extremely), perceived cleaning (7.55 vs. 6.99, p<0.05, teeth with decay per child. 1 = extremely ineffective, 9 = extremely effective) and comfort (“comfortable to hold” (7.29 vs. 6.14, p<0.05, Results: Data showed a significant incidence of disease 1 = extremely uncomfortable, 9 = extremely comfort- starting in toddlers, with over 28% of children in this able), “comfortable to grip” (4.10 vs. 3.25, p<0.05) and group suffering from decayed teeth. By kindergarten, “having better control while flossing” (3.97 vs. 3.28, the incidence doubled to 56.7% and the trend continued p<0.05, 1=completely disagree, 5=completely agree)). to reach 72.4% by age 9, when the incidence began to 222 The Journal of Dental Hygiene Volume 83 Issue 4 Fall 2009 level off. Looking at severity, 30% of the 2 to 3 year were referred directly to a specialty clinic while a further olds had decay in 5 or more teeth – this increased to 34 were reviewed by a study facilitator who referred an 43% by age 8. additional 7. Seven patients were biopsied resulting in 3 dysplasia cases. Conclusion: Dental disease is a major concern for Northeast Philadelphia. The earlier a child accesses Conclusions: Future workshops should focus on clinical dental care, the more likely the child will have fewer presentation of benign and variations of normal mucosa. decayed teeth. Early intervention reduces the number Reviewing a lesion 3 weeks after the initial visit greatly of decayed teeth, reduces the need for restoration, re- reduced the number of confounders and unnecessary re- duces the cost of dental treatment, reduces the chance ferrals. of recurrent decay and increases the chance a child will maintain healthy dentition. Acknowledgements: Supported by NIDCR grant R01DE13124 and a scholarship from the Michael Smith Strengthening The Quality Of Oral Foundation for Health Research to DML. Cancer Screening Biofilm Removal With A Dental DM Laronde, RDH, MSc, PhD (Candidate);1,2 Water Jet PM Williams, BSN, DMD, FRCD(C);2,3 TG Hislop, MDCM;2 JL Bottorff, PhD, RN, FCAHS;2,3 *Deborah M. Lyle, RDH, MS CF Poh, DDS, PhD, FRCD(C);2,3 S Ng, DMD, Water Pik, Inc. FRCD(C);2 MP Rosin, PhD;1, 2 Purpose: To evaluate the effect of a dental water jet on Simon Fraser University, Burnaby, B.C.; 2 B.C. biofilm using scanning electron microscopy (SEM). Cancer Agency; 3 The University of British Columbia Problem Statement: Traditional measures of detect- ing biofilm by staining and viewing with the naked eye (Plaque Index) provide limited information on the im- Purpose: To study current oral cancer screening prac- pact to the biofilm by a device. This study was designed tices, identify factors that influence this behavior and to provide information on biofilm removal at the micro- study the effects of using a novel adjunctive screening scopic level. device (fluorescence visualization (FV)) within commu- nity dental offices. Methods: Eight teeth with advanced aggressive peri- odontal disease were extracted. Ten thin slices were cut Problem Statement: Oral cancer screening is a noninva- from 4 teeth. Two slices were used as the control. Eight sive, quick and painless skill that oral health profession- were inoculated with saliva and incubated for 4 days. als are taught, yet less than 30% of people surveyed have Four slices were treated using a standard jet tip and 4 ever been screened. More than 40% of oral cancers are slices were treated using an orthodontic jet tip. The re- diagnosed at a late stage where 5–year survival is poor. maining 4 teeth were treated with the orthodontic jet tip There is a need for continuing education to maintain and but were not inoculated with saliva to grow new biofilm. promote this skill, and to incorporate this behavior into Experimental teeth were treated using a dental water jet consistent daily routine. for 3 seconds on medium pressure. Images of the control and samples were taken with the SEM from representa- Methods: Fifteen dental offices from the Vancouver tive areas of treated and untreated regions of the tooth area took part in a 1 day oral cancer screening workshop, slices, and total bacteria numbers were counted on stan- offering both didactic and clinical components. Offices dard areas of 10 µm x 10 µm. The mean was determined screened patients 21 years of age and older for 11 months, and the results were extrapolated on a standard area of 1 collecting demographic, clinical and FV information by cm2. The extrapolated area was then multiplied with the questionnaire. Two focus groups were used to identify number of bacterial layers of the biofilm. The total bacte- factors influencing screening behavior and the value of rial load was calculated. FV. Suspicious lesions were referred to a specialty clinic or reviewed by a community facilitator. Results: The standard jet tip removed 99.99% of the salivary (ex vivo) biofilm, and the orthodontic jet tip re- Results: Of the 2,599 patients screened, 438 lesions moved 99.84% of the salivary biofilm. Observation of were recorded. Ninety–four of 133 patients asked to the remaining 4 teeth by the naked eye indicated that the return in 3 weeks were reassessed. Twenty–six patients orthodontic jet tip removed significant amounts of cal- Volume 83 Issue 4 Fall 2009 The Journal of Dental Hygiene 223 cified (in vivo) plaque biofilm. This was confirmed by Comparative Plaque Removal SEM evaluations. Evaluation Of Two Floss Conclusion: The dental water jet (Water Pik, Inc, Fort Collins, Colo.) can remove both ex vivo and in vivo bio- Technologies film. Water Pik, Inc. donated the dental water jets used *Angela D. Morris, RDH, MS; Sylvia L. Santos, in this study. Water Pik, Inc. has provided unrestricted RDH, MS research grants to the Center for Biofilm, USC School Johnson & Johnson Consumer & Personal of Dentistry. Products Worldwide, Division of Johnson & References Johnson Consumer Companies, Inc. 1. Gorur A, Lyle DM, Schaudinn C, Costerton JW. Matthew J. Cronin, DMD Biofilm removal with a dental water jet. Compend New Institutional Service Co., Inc. Contin Dent Ed. 2009;30(Special Issue 1):1–6. Chhaju R. Goyal, BDS; Naresh C. Sharma, DDS Effect Of Low–Temperature BioSci Research Canada, Ltd. Atmospheric Pressure Plasma JA McGuire, MS
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